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Pyridoxine Injection

California rates for HCPCS J3415

Injection, pyridoxine HCl, 100 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $16$350%20%10th90th$19Professionalmedian $15 · 10th–90th $9$340%20%10th90th$15$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$29.51
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.14
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$17.78
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$31.62
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$32.36
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.89
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$15.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$33.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$22.39
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.62
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$38.02